DR. DOUGLAS GEORGE AVELLA M.D. NPI 1437200672

NPI Information

  • NPI: 1437200672
  • Provider Name: DR. DOUGLAS GEORGE AVELLA, M.D.
  • Classification: Orthopaedic Surgery - 207XP3100X
  • Specialization: Pediatric Orthopaedic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 140 CHESTNUT ST
    SUITE 201
    RIDGEWOOD, NJ
    ZIP 07450
  • Phone: (201) 612-9988

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NPI Details

DR. Douglas George Avella, M.D. is a pediatric orthopaedic surgery orthopaedic surgery in Ridgewood, NJ. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. DR. Douglas George Avella, M.D. NPI is 1437200672. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

140 CHESTNUT ST
SUITE 201
RIDGEWOOD, NJ
ZIP 07450-599
Phone: (201) 612-9988
Fax: (201) 445-9050

The NPI 1437200672 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/15/2007 and was last updated on 1/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XP3100XOrthopaedic SurgeryPediatric Orthopaedic Surgery25MA03908700NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
181042OTHERNEW JERSEYAMERIGROUP
20961576-004OTHERNEW JERSEYCIGNA
3C61670MEDICARE UPINNEW JERSEY
4J31130OTHERNEW JERSEYHEALTHNET
51822900MEDICAIDNEW JERSEY
681D03OTHERNEW JERSEYEMPIRE BCBS
7BS472OTHERNEW JERSEYOXFORD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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